Individual provider Active NPI

Kelsie Lee Colombini O'Donnell, OT

  • Pediatric Occupational Therapist
  • Reno, NV
National Provider Identifier
1114442803
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17-0903 Issued in NV
Practice address
4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983
Phone
(775) 376-1934
Fax
(775) 451-3769
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 17-0903 NV Primary

Addresses

Primary practice location

4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983

Mailing address

4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983
Phone (775) 376-1934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307003210 NV Practitioner - Occupational Therapist in Private Practice 7416320791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-0903NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Peak Therapies Single Specialty CurrentSince Jan 1, 2023 Accepting new patients

Locations

4741 Caughlin Pkwy
Ste 2
Reno, NV 89519
Phone (775) 375-1934

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1114442803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 CAUGHLIN PKWY STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190983",
            "telephone_number": "775-376-1934",
            "fax_number": "775-451-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 CAUGHLIN PKWY STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190983",
            "telephone_number": "775-376-1934",
            "fax_number": "775-451-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "KELSIE",
        "middle_name": "LEE COLOMBINI",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "17-0903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.